Simultaneous infection with Legionella pneumophila and Pittsburgh pneumonia agent. Clinical features and epidemiologic implications

Nosocomial pneumonia caused simultaneously by two organisms, Legionella pneumophila and the Pittsburgh pneumonia agent, was documented in seven patients in one institution. In all seven cases, both organisms were demonstrated by isolation from culture or visualization by direct immunofluorescence. Four patients died as a result of pneumonia, including two who received erythromycin therapy. The hospital water distribution system appeared to be the reservoir for both L. pneumophila and Pittsburgh pneumonia agent. These seven cases constituted 26.9 percent and 17.9 percent of the cases of Pittsburgh pneumonia agent and Legionnaires' disease, respectively, at one institution. Given this relatively high incidence of dual infection, it is likely that the mode of transmission for both organisms is identical. Dual infection may account for some cases of antibody response to more than one Legionella species. Historical parallels of the discovery of L. pneumophila and Pittsburgh pneumonia agent are reviewed.     

Workflow Dynamics and the Imaging Value Chain: Quantifying the Effect of Designating a Nonimage-Interpretive Task Workflow

Purpose

To assess the impact of separate non-image interpretive task and image-interpretive task workflows in an academic neuroradiology practice.

治先於病,药先於症

内科疾病为达到治未成之病或防已病脏腑之传变,也应采取治先於病、药先於症的方针,对经过检测诊断有可能发展成为某些疾病但尚未形成,或已经发展成为某些疾病但尚未显现典型症状证型时,即给予积极主动合理的治疗调养,不要坐等病情发展成为症状明显、脏器功能低下时,再尽焦头烂额之力。这样往往能阻止病情发展演变,甚至可以逆转病机治愈顽症。治先於病、药先於症的积极主动治疗法则,采取现代诊测手段,进行精细辨证,早期防治并重,是可以防止某些疾病的发生,阻止某些疾病的进展转化,从整体上提高疗效。     

火之识

六淫中火邪不仅指气候的炎热亢盛,还应包括致病的生物因素(病毒细菌等病原体)和现代生产中高温、辐射、噪音和化学物质微粒对人类的影响。脏腑机能衰退体内代谢失调,痰淤秽浊壅积化火生毒,且虚实同现,寒热并存,繁杂多变。内脏虚火的治疗应针对病源分别予以温阳益气,滋阴,并对痰瘀浊毒充分重视积极治疗给予出路。     

芪黄疽愈方对糖尿病肢体动脉闭塞症踝肱指数及跛行指数的影响

目的 :观察芪黄疽愈方对糖尿病肢体动脉闭塞症(diabetic limb arterial obliteration,DLAO)患者踝肱指数、跛行指数及跛行距离的影响。方法:将160例DLAO患者按随机数字表法分为治疗组和对照组各80例。在使用常规降糖药物和前列地尔注射液的基础上,治疗组应用芪黄疽愈方治疗,对照组应用西药西洛他唑治疗。观察两组治疗前后踝肱指数、跛行指数、跛行距离及不良反应情况。结果:治疗后两组踝肱指数、跛行指数、跛行距离较治疗前均显著提高,差异有统计学意义(P0.05),且治疗组提高更明显,与对照组比较,差异有统计学意义(P0.05)。两组均无明显不良反应。结论:西洛他唑和芪黄疽愈方均可有效改善患者肢体血液循环,芪黄疽愈方较西洛他唑疗效更佳,安全性良好。     

中药玉女煎治疗急性牙周炎的疗效分析

目的 :总结中药玉女煎治疗急性牙周炎的临床疗效。方法 :用中药玉女煎加减治疗 6 8例急性牙周炎治疗组病人 ,并与 6 0例西药治疗对照组病人疗效进行比较。结果 :治疗组与对照组病例用药后均取得了良好疗效。结论 :中药玉女煎对治疗急性牙周炎具有良好疗效 ,比西药更加安全 ,无副作用     

《窦太师针经》传本及构成考

《窦太师针经》为元代针灸古籍,现存清代及民国两种抄本。清代抄本题作“秘抄杨氏家传针经图”,民国抄本与“玉龙歌”合抄,题作“玉龙歌”。经考证,这两种抄本确系《窦太师针经》的不同传本,但确切书名尚无定论。其作者并非窦汉卿本人,当是窦氏传人整理,又经后人补注。其中清代抄本具有本文、附注、提行集注、眉批等多种构成。由于《窦太师针经》为甄权后又一次,也是唯一次对针灸腧穴基于临床实践的总结,因而极具文献价值和实用价值。     

于增瑞教授治疗女性原发性不孕、围绝经期崩漏、癥瘕验案三则

[目的]总结于增瑞教授治疗女性原发性不孕症、围绝经期崩漏、癥瘕等妇科常见病的临床经验。[方法]从于师治疗原发性不孕症、围绝经期崩漏、癥瘕三则典型验案出发,对其辨治理论、遣方用药方法加以分析,从而总结其临床经验和用药特色。[结果]于教授所运用的益肾暖宫、调冲健脾助孕,养阴化燥、固冲止血治崩漏,行气活血、化瘀散结袪癥消瘕是行之有效的方法;运用"平衡阴阳、攻补得法"的治则恰当;3名患者均取得理想疗效。[结论]于教授在临床上强调整体论治,注重辨病与辨证相结合,重视西医检测的辅助作用;在治疗妇女原发性不孕症、围绝经期崩漏、癥瘕方面的辨治经验成效明显,对临床治疗具有参考与借鉴价值。